Catch the Spirit 5KWalk/Run
benefitting the Harrisonville Public School Foundation
& the Christina Collins Memorial Scholarship


Saturday, September 28, 2013
8 a.m., Harrisonville High School Student Parking Lot

Pre-Registration (by Sept. 13) - $20 - CLOSED
Family Plan (see explanation below) - $10
Registration after Sept. 13 through race day- $25 (NO T-SHIRT)
**Only Pre-Registrants receive t-shirts
**Race Day Registrants may purchase a t-shirt at the event - $10

**Family Plan**
If you have an elementary-age child or children who would like to partipate with you, you can register them under the new Family Plan for only $10 each.  If you register by Sept. 13, they can also receive a shirt.  Late registration for elementary students is still $10, but they will not receive a shirt.  **NOTE:  The Family Plan is only available if at least one parent registers at regular cost with the child or children.

Payments can be mailed to HPSF, 503 S. Lexington, Harrisonville, MO 64701

5K Route:
The race begins at Harrisonville High School. Parking and assembly area is available in the HHS parking lot. The route of the race is as follows:  south on Price St., west on Elm, north on N Halsey, west on Ash, north on Sunny Swim St., west on Sandy Links Lane to the golf course, and follow the same route back to HHS.

 

 




Full Name
 
First Name
M.
Last Name
Gender
 
Age
 

NOTE: If registrant is under 18, a waiver form must be printed, signed by a parent or guardian,and turned in prior to participation. The waiver for is attached above. It can be mailed (503 S. Lexington), turned in on race day, or scanned and attached below.

Address
 
Address 1
Address 2
City
State
Zip Code
Email Address
 
Registration/Donation Type
 





Team/Organization/Class Plan - Team Name
 
Business/Community Organization - Group Program
 
If applicable, name of person who encouraged you to register.
 
Payment Information
 


Sponsor Information
Business/Organization Name
 
Contact Person
 
Business/Organization Address
 
Address 1
Address 2
City
State
Zip Code
Contact Email Address
 
**If True Wildcat or Royal Blue Sponsor - Logo file for use on t-shirt may be attached below
Waiver Statement for Participants
 
 
I assume full responsibility for any injury or accident, which may occur during participation in the event or while on event premises. I release and hold harmless sponsor, promoters, and all persons, and entities associated with the event. I will not enter unless medically fit and properly trained. I know there may be traffic on the course. I assume the risks associated with the event, including but not limited to fall, contact with other participants, effects of weather including heat and/or humidity, and conditions of the road. If used, I assume all responsibility as associated with the operation of a baby jogger. I grant my permission to use photographs, videotape, or any other record of this event. I have read the foregoing and certify my agreement by check the box below.
Waiver Agreement
 


NOTE: If registrant is under 18, a waiver form must be printed, signed by a parent or guardian,and turned in prior to participation. The waiver for is attached above. It can be mailed (503 S. Lexington), turned in on race day, or scanned and attached below.